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1609813369
JESSICA LYNN STAMATIS
DETROIT, MI
NPI
1609813369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004753)
Enumeration Date
2006-06-01
Last Update Date
2007-07-08
Business Address
-- JESSICA LYNN STAMATIS PAC
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
-- JESSICA LYNN STAMATIS PAC
443 CHAMPAIGN RD
LINCOLN PARK, MI 48146-3003
Phone number: 734-934-3801
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